| Southeasthealth Ellington Clinic | |
|
100 Highway 21 N Ellington MO 63638-9409 | |
| (573) 663-2511 | |
| (573) 663-2815 |
| Full Name | Southeasthealth Ellington Clinic |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 100 Highway 21 N, Ellington, Missouri |
| Authorized Official Name and Position | Paula E Harris (VICE PRESIDENT REGIONAL OPERATIONS) |
| Authorized Official Contact | 5737780020 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Southeasthealth Ellington Clinic 100 Highway 21 N Ellington MO 63638-9409 Ph: (573) 663-2511 | Southeasthealth Ellington Clinic 100 Highway 21 N Ellington MO 63638-9409 Ph: (573) 663-2511 |
| NPI Number | 1285050948 |
|---|---|
| Provider Enumeration Date | 03/05/2014 |
| Last Update Date | 03/05/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285050948 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
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